Common Sites on the Face for Melasma

The brown patches are due to an increased amount of melanin in the skin. The exact cause of increase in melanin is unknown. It is thought to be associated with hormones such as estrogen and progesterone. Sun exposure also plays a major role.

Your doctor will ask about your symptoms and medical history. Your skin will be examined. A lamp, called a Wood’s lamp, may be used to look at your skin. A small sample of skin may be taken for a biopsy. The sample will be sent to a lab to confirm the diagnosis.

Certain medications, like bleaching creams, are used to lighten skin color. A common bleaching cream used to treat melasma is
hydroquinone. This may also be used with other creams or combination of creams such as
tretinoin, corticosteroids,
azelaic acid
or glycolic acid. These creams enhance the skin-lightening effect.

Your skin may be sensitive to these medications. Use care and start slowly when first using them. It may take several months before you see an improvement.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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